This video–New Techniques of Bone Graft and Fusion for the Lower Back–describes the new technique of bone graft and use of BMP and compares fusion using the older technique of bone graft for lumbar fusion. The new technique eliminates the use of iliac crest bone graft which was very uncomfortable in many patients and is supplanted by local bone graft (from the surgical area only and the use of BMP). BMP or Bone Morphogenic Protein is a human synthetic protein that causes your own stem cells to turn into bone cells and has been revolutionary in changing the face of fusion surgery. BMP has increased the rate of fusion and the success of fusion. This video will also describe where the local fusion bone originates from.